Membership application to join the Buffalo Peaks Back Country Horsemen
Please print a copy of this form, fill it in, sign it and include with your check as noted below.
Buffalo Peaks Back Country Horsemen Membership Application:
Name: _______________________________________________________________________________
Address:______________________________________________________________________________
City:_________________________________________________________________________________
State:_________________________________________________Zip:____________________________
Day Phone:__________________________________Evening Phone:___________________________
Fax:_________________________________________
Email:________________________________________________________________________________
_____Family $30.00 ______Individual $25.00 ______At Large $20.00 (Support Only)
Donation $_____________________
I am interested in:
_____Projects/Trails _____Public Relations _____Historian _____Education _____Activities
_____Fun Rides _____Fundraising _____Other________________________________________
Please make check payable to:
Buffalo Peaks Back Country Horsemen
P.O. Box 729, Buena Vista, Co 81211
I am aware that activities involving horses can be inherently dangerous and hazardous, and thereby agree to accept any and all risks of injuries or death that are associated with participation in events sponsored by Buffalo Peaks Back Coutnry Horsemen. I (we) hereby release buffalo Peaks Back Country Horsemen, each and every member, agent, and employee of any and all liability which may be sustained in connection with the club's activities.
Signature(s) Required:
__________________________________ _________________________________
Date:______________________________
